Obstruction Question

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One fear I have had since learning about Crohns is obstructions. I am wondering how you can tell the difference between normal pain and if you have one. It would be beneficial to me to be able to tell if i had one you know lol. Lots of details welcome I love drug out stories :)
 
It depends on the cause of the obstruction. For crohn's there are two to worry about.

First being inflammatory which is FAR more common. This is where your intestines swell and simply squeeze themselves shut. It will be painful and everything and it will usually resolve itself when the inflammation decreases. Like in my case my inflammation ebbs and flows all the time so my intestinal flow rate varies a lot. I still manage to get enough out over time to avoid the hospital though. It's horrible, miserable, but usually not an emergency. Steroids are good for this.

Second is a stricture (narrowing) of the intestines by scar tissue. This isn't something that inflates and deflates and it's not nice soft tissue that will give up it's grip when enough pressure is exerted. Scar tissue is hard and permanent. Combined with inflammation or not it can be enough to completely cut off your intestines from flowing. When you haven't gone at all for 3 or 4 days it's ER time. Even earlier if you're not even passing gas at all. Scar-based strictures have to be cut out.

The symptoms to look for in our case (since we're in pain all the time anyway) are things like bad breath/taste (You'll be able to smell/taste the backed up crap and gas) and vomiting (especially if it seems like fecal matter coming up). As far as signs, pay attention to how much is going in and coming out and if things aren't adding up right compared to before you suspected an obstruction.

One very important thing to remember is to never take stimulant laxatives. Stimulant laxatives can take an obstruction and put enough pressure behind it to make your intestines burst. Not good. Stool softeners and non-stimulant laxatives are great though because they'll make it softer so that it can conform better to the space available or lubricate it so that it can push through the bottle-necks.
 
Maybe I'll pick up a stool softener and give it a whirl just as an experiment to see if anything flows better or if I just have a "crappy" digestive schedule. And hungry growls aren't a sign of anything but hunger right lol? Crohns sure does throw the stick in my spokes sometimes.
 
I do get the occasional non-hunger tummy growls or seems like growls. I would suggest Miralax. I switched to it after many good words on here and I haven't had any issues with it.
 
Miralax is a lubricant laxative. It's active ingredient is also used to make things such as sexual lubricants (which can make for a fun alternative way to get your dose). It's a perfectly fine thing to take.

For a stool softener I would suggest Docusate (Sold under 30+ brand names like Colace and Equate brand Stool Softener). It will make your feces soft and wet basically.

Which one works best for you depends on your situation. Try both and see which one you like best. The generic brands of them are usually really cheap.
 
Thanks, I'm about to go to Wal-Mart now so I think I will find Miralax and give it a try. Hopefully, I get some relief and get things moving a little smoother plus I need to pick up some new toilet paper because my wife bought the crappy kind and it is chewing my rear into pieces lol.

But anyway, I'm thinking some of my pain is partly due to minor obstruction from inflammation because I eat during the day and finally get my food out late night and into the early morning and then I feel decent until I get some more food in me the next day and into the evening I start to feel crumby again.

I just had xrays of my abs done last tuesday but my doc has been out and now this week is going to be on vac. I am going to request that another doc look at them at her practice because obstructions can be very serious from the research I have done. Plus, I'm not a fan of winging things concerning my health. I guess Crohns is a trial and error type of disease you know. Again, thanks for the help. :)
 

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